Individual
CHARLES WALLACE ZOLLMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8227 NORTHWEST BLVD, SUITE 290, INDIANAPOLIS, IN 46278-1387
(317) 328-1100
(317) 334-9228
Mailing address
8227 NORTHWEST BLVD, SUITE 290, INDIANAPOLIS, IN 46278-1387
(317) 328-1100
(317) 334-9228
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
01023513A
IN
Other
Enumeration date
09/26/2006
Last updated
07/08/2007
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